Triarc (PTY) LTD
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EMPLOYEE BENEFIT CLAIMS CAN BE REGISTERED ONLINE USING THE FORMS BELOW, VIA THE CLAIMS EMAIL ADDRESS OR BY PHONING OUR CLAIMS DEPARTMENT.

CLAIM FORMS

Once you have all the documents you can use one of these forms to submit your claim.
Life Cover
Group Risk Life Cover Benefit Claim Form - Unapproved Life Cover
Disability Cover
Group Risk Initial Disability Claim Advice
Group Risk Disability Benefit Claim Form - Consent
Group Risk Disability Cover Benefit Claim Form - Job Description
Group Risk Disability Benefit Claim Form - Medical Report
Group Risk Disability Benefit Claim Form - Medical Progress Report
Group Risk Disability Cover Benefit Claim Form - Pre Disability Benefit Assessment
Group Risk Disability Cover Benefit Claim Form - Employee’s Declaration
Group Risk Disability Cover Benefit Claim Form - Employer’s Declaration
Group Risk Disability Cover Benefit Claim Form - Certificate of Continued Disability
Dread Disease Cover
Group Risk Dread Disease Cover Benefit Claim Form - Employer/Employee Declaration
Group Risk Dread Disease Medical Report
Educator Benefit
Group Risk Educator Benefit Claim Form - Annual Form
Spouse's Cover
Group Risk Cover Claim Form – Spouse’s Death Cover
Funeral Cover
Group Risk Funeral Cover Benefit Claim Form

Q U I C K   L I N K S

LIFE INSURANCE

HIV LIFE COVER

FEEDBACK

CLAIMS

About Us

TRIARC is an authorised financial services provider FSP45009. TRIARC insurance products underwritten by Guardrisk Life FSP76. Council of Medical Scheme
Number ORG 4040.

About us

TRIARC is an authorised financial services provider FSP45009. Council of Medical Scheme Number ORG 4040.

Contacts

087 231 0222
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Copyright © 2011–2020 TRIARC (Pty) Ltd. All Rights Reserved.